Computed Tomography-Guided Fine-Needle Aspiration of Retroperitoneal Lymph Nodes in Gynecologic Oncology
作者:
MATTHEW KOHLER,
ANDREW BERCHUCK,
MARK BAKER,
CHERYL SZPAK,
JOHN SOPER,
DANIEL CLARKE-PEARSON,
期刊:
Obstetrics & Gynecology
(OVID Available online 1990)
卷期:
Volume 76,
issue 4
页码: 612-616
ISSN:0029-7844
年代: 1990
出版商: OVID
数据来源: OVID
摘要:
Computed tomography& guided fine-needle aspiration was performed on 30 retroperitoneal lymph nodes in 29 patients with gynecologic cancer. There were no serious complications. Review of the cytologic material demonstrated malignant cells in 83% of the aspirates. Because the predictive value of a positive aspirate approaches 100%, therapy for metastatic disease can be initiated in these patients without the need for an open biopsy. Among five aspirates in which malignant cells were not seen, the cellularity of the specimen appeared to be the critical factor determining the predictive value of the aspirate. Whereas neither of two patients with negative aspirates of adequate cellularity has developed recurrent disease, two of three patients with hypocellular negative aspirates have. Because a hypocellular negative aspirate from a retroperitoneal lymph node may not be a true reflection of disease status, either repeat aspiration or open biopsy is advisable.
点击下载:
PDF
(393KB)
返 回